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Contact Information

A&G FAMILY DENTISTRY PC
1127 W MAIN ST
STE 2A
WATERBURY, CT06708-2764
 Phone: 203-573-9989
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for A&G FAMILY DENTISTRY PC

NPI Number 1790078418
LBN Legal business name A&G FAMILY DENTISTRY PC
Authorized official MARK AGABABAEV - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/27/2011
Last updated 05/27/2011 - About 15 years ago
Identifiers
CT License # 010091
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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